中国血液净化 ›› 2020, Vol. 19 ›› Issue (10): 692-695.doi: 10.3969/j.issn.1671-4091.2020.10.011

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维持性血液透析患者的围手术期管理

王冲1,李月红1   

  1. 1清华大学附属北京清华长庚医院肾内科清华大学临床医学院
  • 收稿日期:2020-06-16 修回日期:2020-07-15 出版日期:2020-10-12 发布日期:2020-10-12
  • 通讯作者: 李月红: liyuehong0616@163.com E-mail:liyuehong0616@163.com
  • 基金资助:
    首都临床特色应用研究(Z181100001718129)

Peri- operative risk assessment and management in patients receiving maintenance hemodialysis

  1.  1Department of Nephrology, Beijing Tsinghua Changgung Hospital, Tsinghua University School of Medicine, Beijing 102218, China
  • Received:2020-06-16 Revised:2020-07-15 Online:2020-10-12 Published:2020-10-12
  • Contact: Yuehong LI E-mail:liyuehong0616@163.com

摘要: 【摘要】随着人口老龄化和高血压、糖尿病等疾病发病率的升高,慢性肾脏病的患病率逐年上升,进展至终末期肾脏病需血液透析的患者增长迅速,此人群的外科手术需求不断增加。关于接受手术的维持性血液透析患者最佳内科处理,目前并无定论。本文重点介绍维持性血液透析患者围手术期风险评估及管理,为手术科室进行临床决策提供参考,帮助维持性血液透析患者安全度过围手术期。

关键词: 血液透析, 围手术期, 管理策略

Abstract: 【Abstract】Due to the growth of aged population and the higher incidences of hypertension and diabetes mellitus, chronic kidney disease (CKD) patients and those developed into end-stage renal disease requiring hemodialysis are increased. The number of hemodialysis patients necessarily treated with surgery under general anesthesia is also increased. There is no consensus about the best management for maintenance hemodialysis patients undergoing surgery. This article focuses on peri-operative risk assessment and management for maintenance hemodialysis patients, in order to provide a reference for surgical department to make clinical decisions and to help these patients survive the peri-operative period.

Key words: Hemodialysis, Peri-operative, Management strategy

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